Vol 52, No 4 (1971)

We used ECG examination data of 35 patients with myocardial infarction, who were in a terminal state. ECG in so-called clinical death was taken in 16 patients with ventricular fibrillation and in 4 with ventricular flutter, in 9 with myocardial rupture and subsequent tamponade, in 5 with cessation of electrical activity. In addition, ECG examination was performed in the terminal period in 5 patients with rapidly progressing collapse and in 1 with mainstem pulmonary embolism. Nine patients were resuscitated, of whom in 3 patients resuscitation proved to be stable (life expectancy over 2 months).

We studied 262 hospitalized patients (134 men and 128 women) aged 16 to 74 years old to find out peculiarities of ECG changes in patients with various manifestations of cardio-pain syndrome. All patients were conventionally divided into groups according to the nature of pain in the heart area.

The aim of our work was to investigate the correlations between hydrochloric acid (HC1), pepsin in gastric juice and Na and K concentrations in blood and in gastric contents in peptic ulcer sufferers with different secretory and acid-forming functions of the stomach.

Atherosclerosis and hypertension often develop ischaemia or hypoxia of different organs with varying degrees of functional impairment. As atherosclerotic vascular changes develop, tissue hypoxia increases. Often in elderly people and patients with atherosclerosis gastrointestinal dysfunction is not due to inflammatory changes, but to ischaemia due to insufficient mesenteric circulation.

The problem of resorption in the digestive apparatus has attracted wide attention of researchers.
To assess absorption function of small intestine, L.A. Leschinsky and V.I. Ryabov (1959) injected potassium iodide (20 ml of 2% solution) directly into duodenum through duodenal probe and recorded the moment of iodine appearance in saliva by means of iodine-starch reaction. Further (additions were made in the form of quantitative analysis of iodine in saliva. This variant made it possible to determine the so-called "volumetric rate" of KJ absorption, i.e. to judge not only the time of the first portions of the test agent (qualitative iododkali assay) entering through the intestine, but also the amount of resorbed indicator in certain periods.

The influence of glucocorticoids on the development and course of pathological conditions in the liver has received increasing attention. Numerous clinical and experimental studies have shown that an excess of glucocorticoids leads to significant changes in the functional activity and morphological structure of the liver.

We studied the fate of sulphamonomethoxin in 92 patients in the clinic for infectious and inflammatory diseases of the bronchopulmonary system and the biliary tract. There were 44 men and 48 women. Most of the patients were between the ages of 32 and 55. The patients were each given one tablet of sulfamonomethoxin (0.5 g) and its content in blood, urine, bile and sputum was determined at various intervals by the modified Prebsting and Gavrilov method.

The autocoagulogram has not yet found widespread use in laboratory practice in the clinical examination of patients with clotting disorders. Meanwhile, this test is very easy to perform and is valuable because it uses only oxalate plasma from the patient and "haemolysate" from erythrocytes of the same plasma, i.e. it excludes the influence of biological reagents added in many other reactions, such as in the thromboplastin generation test.

The aim of this study was to investigate the effect of a number of drugs on the course of the reactive syndrome in order to develop measures to prevent it. Control experiments were performed on 12 chinchilla rabbits.

We analyzed the results of treatment of injuries to the flexor and extensor tendons of the fingers in 271 patients. Most of these patients were initially treated in district hospitals as well as in hospitals and clinics in Kazan.

The research of clinicians and neurophysiologists for the last years convinces us that along with the features reflecting nosological belonging of syndromes, regularities independent of an essence of illness are found also. The latter can be caused by general pathophysiological disturbances of higher nervous activity in similar psychopathological states. In particular, verbal hallucinoses of various etiologies are thought to be based on a local organic lesion of the brain, which is a source of constant pathological impulses.

Two approximately equal groups of patients (298 in total) who had received various etiotropic and pathogenetic treatments for a long time without effect were followed up. The duration of previous treatment usually coincided with the duration of the disease. They were: in 21.7% of patients up to a year, in 27.3% of patients up to 2 years, in 31.4% up to 3 years, and in 19.6% more than 3 years.

We have set ourselves the task of developing a system for quantifying multiple obstetric factors, suitable primarily for the purposes of practical obstetrics. We have therefore proposed the Prognostic Scale for Determining the Course and Outcome of Labour, to be used at the beginning of labour. This scale is an attempt to comprehensively assess, at the beginning of labour, the combination of a number of factors that affect the course and outcome of the birth act in one way or another. The school's definition of these attributes and the scoring of each of the attributes, as well as their definition in clear terms, ultimately yields a sum of scores which serves as a basis for assuming a normal or pathological course of the forthcoming birth.

It is now known that the biological effect of glucocorticoids is determined by the concentration of free, biologically active forms of corticosteroids in the blood, the level of which is determined by the secretion of the adrenal cortex and the processes of their binding to plasma proteins. The determination of the content of free forms of hormones allows a more complete characterization of the secretory capacity of the adrenal cortex in any pathological condition, including the post-abortion septic process.

According to zonal biogeochemical zoning, the Udmurt Republic belongs to the taiga-forest non-black earth zone, characterized by the lack of Ca, P, K, Na, J, Co, Cu and sufficient concentration of Mn in the environment and foodstuffs. At the same time, the content of these elements varies in different areas of this territory.

Isolated pancreatic injuries in closed abdominal trauma are relatively rare. Only isolated cases have been described in the national and foreign literature. The attention of surgeons is attracted by the difficulties of diagnosis and treatment. The clinical picture of closed pancreatic injuries is mainly dominated by the symptoms of shock, relatively rapidly developing peritonitis, and internal bleeding.

The aim was to study hepatic dysfunction in acute traumatic brain injury. We determined bilirubin, total protein and protein fractions by agar electrophoresis, blood prothrombin index, plasma fibrinogen and cholesterol as indicators of liver function.

We studied the quantitative content of unoxidized metabolic products in circulating blood and urine in dysentery and experimental dysentery intoxication. In patients with dysentery studies were carried out at different forms of severity and at different stages of the disease. In experimental intoxication different doses of dysentery bacillus Grigoriev-Shig toxin were used, which gave different severity of intoxication. The content of under-oxidised products was judged by the amount of oxygen vactate in the urine and blood. To determine renal activity, clearance was calculated in relation to the oxygen vate.

We observed 186 patients (148 women and 38 men) with varicose veins of the lower extremities. There were 18 patients under 20 years of age, 83 patients between 20 and 30 years of age, 52 patients between 30 and 40 years of age, and 33 patients older. In 89 women varicose veins of the lower limbs had developed either during pregnancy or during the postpartum period; in 36 patients the disease could be related to heavy physical labour, in 42 patients - to prolonged standing on their feet, in 19 patients the causative factor could not be identified.

From 1964 to 1969, 240 children (boys-167 and 73 girls) under 15 years of age with fractures of the elbow joint were under our observation. The most frequently observed fractures were peremicondylar fractures, fractures of individual epicondyles, fracture-dislocations and contusions.

We performed bacteriological studies of purulent secretions in 67 children with acute purulent otantritis (age from 1 to 4 years). Nineteen children had pus from the ears on admission to the hospital, and 48 had otitis without otorrhea, and the pathological secretion was obtained by paracentesis under aseptic conditions. In both cases the pathological material was inoculated on a dish with 5% blood agar and Kitt-Tarozzi medium with 0.1% agar agar, incubated at 37° for 24 hours and the isolated microorganisms were studied.

A clinical symptom complex known as sciatica; isolated in the 18th century by Catuño. For a long time, infection was considered to be the main cause. Over the past decade, science has established the view that this syndrome is associated with spinal osteochondrosis. However, the lesion of the sciatic nerve itself cannot be explained by this pathology.

In the last 5 years the prophylactic department of Ulyanovsk regional hospital No. 1 has registered 15 cases of drug-related deaths. The deceased included 4 children and 11 adults, of whom 2 were men, the rest being women aged between 28 and 65.

In recent years there have been isolated reports of a disease in which the clinical picture completely or almost completely mimics a pheochromocytoma and intraoperative (sometimes even sectional) revision of the chromaffin tissue does not reveal tumour growth. Biochemical investigations reveal increased catecholamine secretion, and tests for histamine or regitin may be positive.

We investigated the health status and immunobiological reactivity of 77 male and 48 female apparatus trainees undergoing on-the-job training at a petrochemical synthesis plant. The control group consisted of 20 electric fitter students who were not exposed to the chemical factor. All the study subjects were aged 17 years.

The VIII Republican Scientific and Practical Conference of otorhinolaryngologists of the TASSR, organised by the Ministry of Health of the TASSR and the Kazan Branch of the RNOLO, was held in Kazan from 25th to 27th June 1971. The conference was attended by otorhinolaryngologists from the Mari, Chuvash and Udmurt ASSR. The conference was attended by 120 people.